Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Authors
Linda Ó. ÁrnadóttirTómas A. Axelsson
Daði Helgason
Hera Jóhannesdóttir
Jónas A. Aðalsteinsson
Arnar Geirsson
Axel F. Sigurðsson
Tómas Guðbjartsson
Issue Date
2014-12
Metadata
Show full item recordOther Titles
Outcome of myocardial revascularisation in patients fifty years old and younger.Citation
Læknablaðið 2014, 100 (12):651-656Abstract
Inngangur: Meðalaldur þeirra sem gangast undir kransæðahjáveituaðgerð er nálægt sjötugu. Tilgangur rannsóknarinnar var að kanna árangur kransæðahjáveituaðgerða hjá yngri sjúklingum (≤50 ára), meðal annars snemmkomna fylgikvilla, dánartíðni innan 30 daga og langtímalifun. Efniviður og aðferðir: Afturskyggn rannsókn á 1626 sjúklingum sem gengust undir kransæðahjáveituaðgerð á Landspítala 2001-2012. Bornir voru saman 100 sjúklingar 50 ára og yngri og 1526 sjúklinga yfir fimmtugu. Niðurstöður: Hlutfall karla og áhættuþættir kransæðasjúkdóms voru sambærilegar í báðum hópum, einnig útbreiðsla kransæðasjúkdóms og hlutfall sjúklinga með vinstri höfuðstofnsþrengsli. Útstreymisbrot vinstri slegils yngri sjúklinga fyrir aðgerð var marktækt lægra en þeirra eldri (52% á móti 55%, p=0,004), fleiri þeirra höfðu nýlegt hjartadrep fyrir aðgerð (41% á móti 27%, p=0,003) og aðgerð var oftar gerð með flýtingu (58% á móti 45%, p=0,016). Tíðni minniháttar fylgikvilla var lægri hjá yngri sjúklingum (30% á móti 50%, p<0,001), sérstaklega nýtilkomið gáttatif (14% á móti 35%, p<0,001), en blæðing í brjóstholskera á fyrsta sólarhring eftir aðgerð var einnig minni (853 ml á móti 999 ml, p=0,015) og þeir fengu færri einingar af rauðkornaþykkni (1,3 á móti 2,8 ein, p<0,001). Hins vegar reyndist ekki marktækur munur á alvarlegum fylgikvillum (6% á móti 11%, p=0,13) eða dánartíðni innan 30 daga (1% á móti 3%, p=0,5). Legutími yngri sjúklinga var rúmlega tveimur dögum styttri að meðaltali en þeirra eldri (p<0,001). Sjúkdómasértæk lifun var sambærileg fyrir báða aldurshópana en þó sást tilhneiging í átt að betri lifun fyrir yngri sjúklinga (99% á móti 95% fimm ára lifun, p=0,07). Ályktun: Minniháttar fylgikvillar eru sjaldgæfari hjá yngri sjúklingum en þeim eldri, legutími þeirra er styttri og blóðgjafir fátíðari. Einnig virðast veikindi þeirra bera bráðar að. Sjúkdómasértæk lifun yngri sjúklinga virðist ívið betri en eldri sjúklinga.---------------------------------------------------------------------------------------------------------------------------------------------------------Introduction: Most patients that undergo coronary artery bypass grafting (CABG) are around 70 years of age when operated on. We investigated the outcome of CABG in patients 50 years and younger, focusing on early complications, operative mortality and long-term survival. Material and method: A retrospective study on 1626 patients that underwent CABG in Iceland 2001-2012. One hundred patients aged 50 years or younger were compared to 1526 older patients. Results: The male:female ratio, risk factors and extension of coronary artery disease were comparable in both groups, as was the proportion of patients with left main disease. Left ventricular ejection fraction was significantly lower in the younger patients (52 vs. 55%, p=0.004) and more of them had a recent myocardial infarction (41 vs. 27%, p=0.003). Minor complications were less common in the younger group (30 vs. 50%, p<0.001), especially new onset atrial fibrillation (14 vs. 35%, p<0,001). Chest tube bleeding for the first 24 hours postoperatively was also less in the younger group (853 vs. 999 ml, p=0.015) and they received fewer units of packed red cells (1.3 vs. 2.8 units, p<0.001). However, the incidence of major complications was comparable (6 vs. 11%, p=0.13) and the same was true for 30 day mortality (1 vs. 3%, p=0.5). Mean hospital stay was 2 days shorter for younger patients (p<0.001). There was a non-significant trend for improved disease-specific survival for the younger patients, or 99% vs. 95% 5-year survival (p=0.07). Conclusion: In younger patients undergoing CABG minor complications are less common than in older patients, their hospital stay is shorter and transfusions less common. There was also a trend for improved disease specific survival for the younger patients.
Description
Efst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinnAdditional Links
http://www.laeknabladid.isRights
openAccessCollections
Related articles
- [The outcomes of coronary artery bypass and aortic valve replacement in elderly patients].
- Authors: Sigurdsson MI, Helgadóttir S, Ingvarsdottir IL, Viktorsson SA, Hreinsson K, Arnórsson T, Gudbjartsson T
- Issue date: 2012 Jan
- [No significant association between obesity and long-term outcome of coronary artery bypass grafting].
- Authors: Thorkelsdottir T, Johannesdottir H, Arnadottir LO, Adalsteinsson J, Gardarsdottir HR, Helgason D, Axelsson TA, Helgadottir S, Heimisdottir AA, Sigurdsson MI, Gudbjartsson T
- Issue date: 2019 Juli
- [Outcome of myocardial revascularisation in Iceland].
- Authors: Sigurjónsson H, Helgadóttir S, Oddsson SJ, Sigurđsson MI, Geirsson A, Arnórsson T, Guđbjartsson T
- Issue date: 2012 Sep
- [Outcome of coronary artery bypass grafting in women in Iceland].
- Authors: Gardarsdottir HR, Arnadottir LO, Adalsteinsson JA, Johannesdottir H, Helgadottir S, Hrafnkelsdottir TJ, Geirsson A, Gudbjartsson T
- Issue date: 2018 Juli
- Predictors of immediate and long-term outcomes of coronary bypass surgery in patients with left ventricular dysfunction.
- Authors: Gatti G, Maschietto L, Dell'Angela L, Benussi B, Forti G, Dreas L, Soso P, Russo M, Sinagra G, Pappalardo A
- Issue date: 2016 Jul